Medicare Program; Announcement of the Advisory Panel on Hospital Outpatient Payment Meeting-August 21-22, 2023-and New Panel Members, 46166-46168 [2023-15254]

Download as PDF 46166 Federal Register / Vol. 88, No. 137 / Wednesday, July 19, 2023 / Notices Practices of Entities Regulated by the Agencies. (FR 2100; OMB No. 7100– 0368). FOR FURTHER INFORMATION CONTACT: Federal Reserve Board Clearance Officer—Nuha Elmaghrabi—Office of the Chief Data Officer, Board of Governors of the Federal Reserve System, nuha.elmaghrabi@frb.gov, (202) 452–3884. Office of Management and Budget (OMB) Desk Officer for the Federal Reserve Board, Office of Information and Regulatory Affairs, Office of Management and Budget, New Executive Office Building, Room 10235, 725 17th Street NW, Washington, DC 20503, or by fax to (202) 395–6974. SUPPLEMENTARY INFORMATION: On June 15, 1984, OMB delegated to the Board authority under the Paperwork Reduction Act (PRA) to approve and assign OMB control numbers to collections of information conducted or sponsored by the Board. Boardapproved collections of information are incorporated into the official OMB inventory of currently approved collections of information. The OMB inventory, as well as copies of the PRA Submission, supporting statements (which contain more detailed information about the information collections and burden estimates than this notice), and approved collection of information instrument(s) are available at https://www.reginfo.gov/public/do/ PRAMain. These documents are also available on the Federal Reserve Board’s public website at https:// www.federalreserve.gov/apps/ reportingforms/home/review or may be requested from the agency clearance officer, whose name appears above. ddrumheller on DSK120RN23PROD with NOTICES1 Final Approval Under OMB Delegated Authority of the Extension for Three Years, With Revision, of the Following Information Collection Collection title: Joint Statement for Assessing the Diversity Policies and Practices of Entities Regulated by the Agencies. Collection identifier: FR 2100. OMB control number: 7100–0368. Effective Date: August 31, 2023. General description of collection: The Joint Statement for Assessing the Diversity Policies and Practices of Entities Regulated by the Agencies was published jointly in 2015 by the Board, Office of the Comptroller of the Currency, Federal Deposit Insurance Corporation, National Credit Union Administration, Consumer Financial Protection Bureau, and Securities and Exchange Commission. Standards in the statement encourage a regulated entity, VerDate Sep<11>2014 00:36 Jul 19, 2023 Jkt 259001 in a manner reflective of its size and other characteristics, to voluntarily conduct a self-assessment of its diversity policies and practices and to report information pertaining to its selfassessment to the Office of Minority and Women Inclusion of its primary federal financial regulator, as well as to publish information pertaining to its efforts with respect to the standards. The Board has developed a voluntary reporting template entitled ‘‘Diversity SelfAssessment Template’’ for use by institutions regulated by the Board to facilitate the provision of selfassessment information. Frequency: Annually. Respondents: All financial institutions for which the Federal Reserve is the primary federal financial regulator. Total estimated number of respondents: 156. Total estimated change in burden: The estimated annual burden would remain unchanged. Total estimated annual burden hours: 1,248.1 Current actions: On March 30, 2023, the Board published a notice in the Federal Register (88 FR 19146) requesting public comment for 60 days on the extension, with revision, of the FR 2100. The Board proposed to revise the diversity self-assessment template by adding a Research, Statistics, Supervision and Regulation, and Discount and Credit Database (RSSD) number field to identify regulated entities and improve the efficiency of data collections. The Board also proposed to reformat the Workforce Profile and Employment Practices section of the template to make clarifications. Proposed changes include the separation of managers in the workforce count from Executive/Senior Level Officials. The comment period for this notice expired on May 30, 2023. The Board did not receive any comments. The revisions will be implemented as proposed. Board of Governors of the Federal Reserve System, July 13, 2023. Erin Cayce, Assistant Secretary of the Board. [FR Doc. 2023–15240 Filed 7–18–23; 8:45 am] BILLING CODE 6210–01–P 1 More detailed information regarding this collection, including more detailed burden estimates, can be found in the OMB Supporting Statement posted at https://www.federalreserve.gov/ apps/reportingforms/home/review. On the page displayed at the link, you can find the OMB Supporting Statement by referencing the collection identifier, FR 2100. PO 00000 Frm 00040 Fmt 4703 Sfmt 4703 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–1801–N] Medicare Program; Announcement of the Advisory Panel on Hospital Outpatient Payment Meeting—August 21–22, 2023—and New Panel Members Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of meeting. AGENCY: This notice announces the dates and times of a virtual meeting of the Advisory Panel on Hospital Outpatient Payment (the Panel) in August of 2023. In addition, it announces 8 new membership appointments to the Panel. The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services and the Administrator of the Centers for Medicare & Medicaid Services concerning the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, which are major elements of the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center payment system; and supervision of hospital outpatient therapeutic services. The advice provided by the Panel will be considered as we prepare the annual update for the OPPS. DATES: Virtual meeting dates: Monday, August 21, 2023 and Tuesday, August 22, 2023, from 9:30 a.m. to 5 p.m. Eastern Daylight Time (EDT). The times listed in this notice are EDT and are approximate times. Consequently, the meetings may last longer or be shorter than the times listed in this notice, but will not begin before the posted time. Deadline for presentations and comments: Presentations or comment letters must be received by 5 p.m. EDT on Monday, July 31, 2023. Presentations or comment letters must be submitted through the ‘‘Hospital Outpatient Payment (HOP) Panel Meeting Presentation & Comment Letters’’ module. To access the module, go to https://mearis.cms.gov to register, log in, and submit your presentation or comment letter. CMS can only accept HOP Panel Meeting presentations and comment letters that are submitted via MEARISTM. Please note that with the submissions in MEARISTM, CMS no longer requires the completion or submission of form CMS–20017, as part of the presentation or comment letter SUMMARY: E:\FR\FM\19JYN1.SGM 19JYN1 ddrumheller on DSK120RN23PROD with NOTICES1 Federal Register / Vol. 88, No. 137 / Wednesday, July 19, 2023 / Notices package. Therefore, submitters do not need to complete this form. Presentations and comment letters that are not received by the due date and time will be considered late or incomplete and will not be included on the agenda. Presentations and comment letters may not be revised once they are submitted. If a presentation or comment letter requires changes, a new submittal must be submitted by July 31, 2023. Please see additional information regarding the submission of section 508 compliant presentation and comment letter materials in section ‘‘III. Presentations and Comment Letters’’ of this notice. ADDRESSES: Virtual meeting location and webinar: The public may participate in this meeting via webinar, or listen-only via teleconference. Closed captioning will be available on the webinar. Teleconference dial-in and webinar information will appear on the final meeting agenda, which will be posted on our website when available at: https://www.cms.gov/Regulations-andGuidance/Guidance/FACA/Advisory PanelonAmbulatoryPayment ClassificationGroups. Websites: For additional information on the Panel, including the Panel charter, and updates to the Panel’s activities, we refer readers to view our website at: https://www.cms.gov/ Regulations-and-Guidance/Guidance/ FACA/Advisory PanelonAmbulatoryPayment ClassificationGroups. Information about the Panel and its membership in the Federal Advisory Committee Act database are located at: https:// www.facadatabase.gov. Virtual meeting registration: While there is no meeting registration, presenters must be identified and included as part of the MEARISTM presentation submission process by the presentation and comment letter deadline specified in the ‘‘DATES’’ section of this notice. We note that no advanced registration is required for participants who plan to view the Panel meeting via webinar, listen via teleconference, or may wish to make a public comment during the meeting. FOR FURTHER INFORMATION CONTACT: Nicole Marcos, Designated Federal Official by email at: APCPanel@ cms.hhs.gov. Press inquiries are handled through the CMS Press Office at (202) 690–6145. SUPPLEMENTARY INFORMATION: I. Background The Secretary of the Department of Health and Human Services (the VerDate Sep<11>2014 00:36 Jul 19, 2023 Jkt 259001 Secretary) is required by section 1833(t)(9)(A) of the Social Security Act (the Act) and is allowed by section 222 of the Public Health Service Act to consult with an expert outside panel, such as the Advisory Panel on Hospital Outpatient Payment (the Panel), regarding the clinical integrity of the Ambulatory Payment Classification (APC) groups and relative payment weights. The Panel is governed by the provisions of the Federal Advisory Committee Act (Pub. L. 92–463), as amended (5 U.S.C. Appendix 2), to set forth standards for the formation and use of advisory panels. We consider the technical advice provided by the Panel as we prepare the final rule and the following calendar year’s proposed rule to update the Hospital Outpatient Prospective Payment System (OPPS). II. Virtual Meeting Agenda The agenda for the August 21 and 22, 2023 virtual Panel meeting will provide for discussion and comment on the following topics as designated in the Panel’s Charter: • Addressing whether procedures within an APC group are similar both clinically and in terms of resource use. • Reconfiguring APCs. • Evaluating APC group weights. • Review packaging costs of items and services, including drugs and devices, into procedures and services, including the methodology for packaging and the impact of packaging the cost of those items and services on APC group structure and payment. • Removing procedures from the inpatient only list for payment under the OPPS. • Using claims and cost report data for the Centers for Medicare & Medicaid Services’ (CMS) determination of APC group costs. • Addressing other technical issues concerning APC group structure. • Evaluating the required level of supervision for hospital outpatient services. • OPPS APC rates for covered Ambulatory Surgical Center (ASC) procedures. The agenda will be posted on our website at: https://www.cms.gov/ Regulations-and-Guidance/Guidance/ FACA/Advisory PanelonAmbulatoryPayment ClassificationGroups approximately 1 week before the meeting. Virtual Meeting Information Updates: The actual meeting hours and days will be posted in the agenda. As information and updates regarding this webinar and listen-only teleconference, including the agenda, become available, they will be posted to our website at: https:// PO 00000 Frm 00041 Fmt 4703 Sfmt 4703 46167 www.cms.gov/Regulations-andGuidance/Guidance/FACA/Advisory PanelonAmbulatoryPayment ClassificationGroups. III. Presentations and Comment Letters The subject matter of any presentation and comment letter must be within the scope of the Panel as designated in the Charter. Any presentations or comments outside of the scope of the Panel will be returned or requested for amendment. Unrelated topics include, but are not limited to: the conversion factor; charge compression; revisions to the cost report; pass-through payments; correct coding; new technology applications (including supporting information/ documentation); provider payment adjustments; supervision of hospital outpatient diagnostic services; and the types of practitioners that are permitted to supervise hospital outpatient services. The Panel may not recommend that services be designated as nonsurgical extended duration therapeutic services. Presentations or comment letters that address OPPS APC rates as they relate to covered ASC procedures are within the scope of the Panel; however, ASC payment rates, ASC payment indicators, the ASC covered procedures list, or other ASC payment system matters will be considered out of scope. The Panel may use data collected or developed by entities and organizations other than the Department of Health and Human Services or CMS in conducting its review. We recommend organizations submit data for CMS staff and the Panel’s review. All presentations are limited to 5 minutes, regardless of the number of individuals or organizations represented by a single presentation. Presenters may use their 5 minutes to represent either one or more agenda items. Section 508 Compliance For this meeting, we are aiming to have all presentations and comment letters available on our website. Materials on our website must be section 508 compliant to ensure access to Federal employees and members of the public with and without disabilities. Presenters and commenters should reference the guidance on making documents section 508 compliant as they draft their submissions, and, whenever possible, submit their presentations and comment letters in a 508 compliant form. The section 508 guidance is available at: https:// www.cms.gov/research-statistics-dataand-systems/cms-informationtechnology/section508. Presentations and comment letters should limit the E:\FR\FM\19JYN1.SGM 19JYN1 46168 Federal Register / Vol. 88, No. 137 / Wednesday, July 19, 2023 / Notices use of graphs or pictures. Any use of these visual depictions must include alternate text that verbally describes what these visuals convey. We will review presentations and comment letters for section 508 compliance and place compliant materials on our website. As resources permit, we will also convert noncompliant submissions to section 508compliant forms and offer assistance to submitters who are making their submissions section 508-compliant. All section 508-compliant presentations and comment letters will be made available on the CMS website. If difficulties are encountered accessing the materials, please contact the Designated Federal Official in the FOR FURTHER INFORMATION CONTACT section of this notice. IV. Virtual Formal Presentations In addition to formal presentations (limited to 5 minutes total per presentation), there will be an opportunity during the meeting for public comments as time permits (limited to 1 minute for each individual and a total of 3 minutes per organization). ddrumheller on DSK120RN23PROD with NOTICES1 V. Panel Recommendations and Discussions The Panel’s recommendations at any Panel meeting generally are not final until they have been reviewed and approved by the Panel on the last day of the meeting, prior to the final adjournment. These recommendations will be posted to our website after the meeting. VI. Membership Appointments to the Advisory Panel on Hospital Outpatient Payment The Panel Charter provides that the Panel shall meet up to 3 times annually. We consider the technical advice provided by the Panel as we prepare the OPPS proposed and final rules to update the OPPS for the following calendar year. The Panel shall consist of a chair and up to 15 members who are full-time employees of hospitals, hospital systems, or other Medicare providers that are subject to the OPPS. The Panel may also include a representative of a provider with ASC expertise, who advises CMS only on OPPS APC rates, as appropriate, impacting ASC covered procedures within the context and purview of the Panel’s scope. The Secretary or a designee selects the Panel membership based upon either self-nominations or nominations submitted by Medicare providers and other interested organizations of candidates determined to have the required expertise. For VerDate Sep<11>2014 00:36 Jul 19, 2023 Jkt 259001 supervision deliberations, the Panel may include members that represent the interests of critical access hospitals, who advise CMS only regarding the level of supervision for hospital outpatient therapeutic services. New appointments are made in a manner that ensures a balanced membership under the Federal Advisory Committee Act guidelines. The Secretary rechartered the Panel in 2022 for a 2-year period effective through November 20, 2024. The current charter is available on the CMS website at: https://www.cms.gov/ files/document/2022-hop-panelcharter.pdf. New appointments are made in a manner that ensures a balanced membership under the Federal Advisory Committee Act guidelines. The Panel consists of the following current members and a Chair: • E. L. Hambrick, M.D., J.D., CMS Chairperson. • Carmen Cooper-Oguz, P.T., D.P.T, M.B.A, C.W.S, W.C.C. • Bo Gately, M.B.A. • Scott Manaker, M.D., Ph.D. • Matthew Wheatley, M.D., F.A.C.E.P. Request and Submission of the Panel Nominations The Request for Nominations to the Advisory Panel on Hospital Outpatient Payment notice (87 FR 68499) provided for nominations to be accepted through February 13, 2023 or after that date at CMS’s discretion. As a result of that notice, we are announcing 8 new members to the Panel. These 8 new Panel member appointments will assure that we continue to have a Chair and up to 15 members available to attend our scheduled meeting. New Appointments to the Panel New members of the Panel will have terms beginning on July 1, 2023 and continuing through June 30, 2027. The new members of the Panel are as follows: • Becky Bean, BS, MHA/MBA, PharmD. • Thomas Capco, BSRT, RRT, CPFT. • Blake Dirksen, MS, DABR. • Nancy Dawson, MD, FACP. • Brandon Fazio, BS. • Rahul Seth, DO, FASCO. • Wendi Smith Lloyd, CPC, COC, CPMA, COSC. • William Tettelbach, MD, FACP, FIDSA, FUHM, MAPWCA, CWSP. We currently accept nominations on a continuous basis to fill upcoming panel vacancies. We encourage additional submissions. Any interested person or organization may nominate qualified individuals. Self-nominations from qualified individuals are also accepted. PO 00000 Frm 00042 Fmt 4703 Sfmt 4703 Nominations must be submitted through the ‘‘Hospital Outpatient Payment (HOP) Panel Member Nomination’’ module on MEARISTM. To access the module, visit https://mearis.cms.gov to register, log in, and submit your nomination. We can only accept HOP Panel Member nominations that are submitted via MEARISTM. VII. Collection of Information Requirements This document does not impose information collection requirements, that is, reporting, recordkeeping or third-party disclosure requirements. Consequently, there is no need for review by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). The Administrator of the Centers for Medicare & Medicaid Services (CMS), Chiquita Brooks-LaSure, having reviewed and approved this document, authorizes Evell J. Barco Holland, who is the Federal Register Liaison, to electronically sign this document for purposes of publication in the Federal Register. Dated: July 13, 2023. Evell J. Barco Holland, Federal Register Liaison, Centers for Medicare & Medicaid Services. [FR Doc. 2023–15254 Filed 7–14–23; 4:15 pm] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity: Center for States Evaluation Ancillary Data Collection Administration on Children, Youth and Families, Administration for Children and Families; U.S. Department of Health and Human Services. ACTION: Request for public comment. AGENCY: The Administration on Children, Youth and Families, Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is requesting approval for a revision of a currently approved information collection, the Center for States Evaluation Ancillary Data Collection. DATES: Comments due within 30 days of publication. The Office of Management and Budget (OMB) must make a decision about the collection of information between 30 and 60 days after publication of this document in the SUMMARY: E:\FR\FM\19JYN1.SGM 19JYN1

Agencies

[Federal Register Volume 88, Number 137 (Wednesday, July 19, 2023)]
[Notices]
[Pages 46166-46168]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-15254]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1801-N]


Medicare Program; Announcement of the Advisory Panel on Hospital 
Outpatient Payment Meeting--August 21-22, 2023--and New Panel Members

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice of meeting.

-----------------------------------------------------------------------

SUMMARY: This notice announces the dates and times of a virtual meeting 
of the Advisory Panel on Hospital Outpatient Payment (the Panel) in 
August of 2023. In addition, it announces 8 new membership appointments 
to the Panel. The purpose of the Panel is to advise the Secretary of 
the Department of Health and Human Services and the Administrator of 
the Centers for Medicare & Medicaid Services concerning the clinical 
integrity of the Ambulatory Payment Classification groups and their 
associated weights, which are major elements of the Medicare Hospital 
Outpatient Prospective Payment System (OPPS) and the Ambulatory 
Surgical Center payment system; and supervision of hospital outpatient 
therapeutic services. The advice provided by the Panel will be 
considered as we prepare the annual update for the OPPS.

DATES: 
    Virtual meeting dates: Monday, August 21, 2023 and Tuesday, August 
22, 2023, from 9:30 a.m. to 5 p.m. Eastern Daylight Time (EDT). The 
times listed in this notice are EDT and are approximate times. 
Consequently, the meetings may last longer or be shorter than the times 
listed in this notice, but will not begin before the posted time.
    Deadline for presentations and comments: Presentations or comment 
letters must be received by 5 p.m. EDT on Monday, July 31, 2023. 
Presentations or comment letters must be submitted through the 
``Hospital Outpatient Payment (HOP) Panel Meeting Presentation & 
Comment Letters'' module. To access the module, go to https://mearis.cms.gov to register, log in, and submit your presentation or 
comment letter. CMS can only accept HOP Panel Meeting presentations and 
comment letters that are submitted via MEARIS\TM\. Please note that 
with the submissions in MEARIS\TM\, CMS no longer requires the 
completion or submission of form CMS-20017, as part of the presentation 
or comment letter

[[Page 46167]]

package. Therefore, submitters do not need to complete this form.
    Presentations and comment letters that are not received by the due 
date and time will be considered late or incomplete and will not be 
included on the agenda. Presentations and comment letters may not be 
revised once they are submitted. If a presentation or comment letter 
requires changes, a new submittal must be submitted by July 31, 2023.
    Please see additional information regarding the submission of 
section 508 compliant presentation and comment letter materials in 
section ``III. Presentations and Comment Letters'' of this notice.

ADDRESSES: 
    Virtual meeting location and webinar: The public may participate in 
this meeting via webinar, or listen-only via teleconference. Closed 
captioning will be available on the webinar. Teleconference dial-in and 
webinar information will appear on the final meeting agenda, which will 
be posted on our website when available at: https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.
    Websites: For additional information on the Panel, including the 
Panel charter, and updates to the Panel's activities, we refer readers 
to view our website at: https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups. 
Information about the Panel and its membership in the Federal Advisory 
Committee Act database are located at: https://www.facadatabase.gov.
    Virtual meeting registration: While there is no meeting 
registration, presenters must be identified and included as part of the 
MEARIS\TM\ presentation submission process by the presentation and 
comment letter deadline specified in the ``DATES'' section of this 
notice. We note that no advanced registration is required for 
participants who plan to view the Panel meeting via webinar, listen via 
teleconference, or may wish to make a public comment during the 
meeting.

FOR FURTHER INFORMATION CONTACT: Nicole Marcos, Designated Federal 
Official by email at: [email protected].
    Press inquiries are handled through the CMS Press Office at (202) 
690-6145.

SUPPLEMENTARY INFORMATION: 

I. Background

    The Secretary of the Department of Health and Human Services (the 
Secretary) is required by section 1833(t)(9)(A) of the Social Security 
Act (the Act) and is allowed by section 222 of the Public Health 
Service Act to consult with an expert outside panel, such as the 
Advisory Panel on Hospital Outpatient Payment (the Panel), regarding 
the clinical integrity of the Ambulatory Payment Classification (APC) 
groups and relative payment weights. The Panel is governed by the 
provisions of the Federal Advisory Committee Act (Pub. L. 92-463), as 
amended (5 U.S.C. Appendix 2), to set forth standards for the formation 
and use of advisory panels. We consider the technical advice provided 
by the Panel as we prepare the final rule and the following calendar 
year's proposed rule to update the Hospital Outpatient Prospective 
Payment System (OPPS).

II. Virtual Meeting Agenda

    The agenda for the August 21 and 22, 2023 virtual Panel meeting 
will provide for discussion and comment on the following topics as 
designated in the Panel's Charter:
     Addressing whether procedures within an APC group are 
similar both clinically and in terms of resource use.
     Reconfiguring APCs.
     Evaluating APC group weights.
     Review packaging costs of items and services, including 
drugs and devices, into procedures and services, including the 
methodology for packaging and the impact of packaging the cost of those 
items and services on APC group structure and payment.
     Removing procedures from the inpatient only list for 
payment under the OPPS.
     Using claims and cost report data for the Centers for 
Medicare & Medicaid Services' (CMS) determination of APC group costs.
     Addressing other technical issues concerning APC group 
structure.
     Evaluating the required level of supervision for hospital 
outpatient services.
     OPPS APC rates for covered Ambulatory Surgical Center 
(ASC) procedures.
    The agenda will be posted on our website at: https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups approximately 1 
week before the meeting.
    Virtual Meeting Information Updates: The actual meeting hours and 
days will be posted in the agenda. As information and updates regarding 
this webinar and listen-only teleconference, including the agenda, 
become available, they will be posted to our website at: https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.

III. Presentations and Comment Letters

    The subject matter of any presentation and comment letter must be 
within the scope of the Panel as designated in the Charter. Any 
presentations or comments outside of the scope of the Panel will be 
returned or requested for amendment. Unrelated topics include, but are 
not limited to: the conversion factor; charge compression; revisions to 
the cost report; pass-through payments; correct coding; new technology 
applications (including supporting information/documentation); provider 
payment adjustments; supervision of hospital outpatient diagnostic 
services; and the types of practitioners that are permitted to 
supervise hospital outpatient services. The Panel may not recommend 
that services be designated as nonsurgical extended duration 
therapeutic services. Presentations or comment letters that address 
OPPS APC rates as they relate to covered ASC procedures are within the 
scope of the Panel; however, ASC payment rates, ASC payment indicators, 
the ASC covered procedures list, or other ASC payment system matters 
will be considered out of scope. The Panel may use data collected or 
developed by entities and organizations other than the Department of 
Health and Human Services or CMS in conducting its review. We recommend 
organizations submit data for CMS staff and the Panel's review. All 
presentations are limited to 5 minutes, regardless of the number of 
individuals or organizations represented by a single presentation. 
Presenters may use their 5 minutes to represent either one or more 
agenda items.

Section 508 Compliance

    For this meeting, we are aiming to have all presentations and 
comment letters available on our website. Materials on our website must 
be section 508 compliant to ensure access to Federal employees and 
members of the public with and without disabilities. Presenters and 
commenters should reference the guidance on making documents section 
508 compliant as they draft their submissions, and, whenever possible, 
submit their presentations and comment letters in a 508 compliant form. 
The section 508 guidance is available at: https://www.cms.gov/research-statistics-data-and-systems/cms-information-technology/section508. 
Presentations and comment letters should limit the

[[Page 46168]]

use of graphs or pictures. Any use of these visual depictions must 
include alternate text that verbally describes what these visuals 
convey.
    We will review presentations and comment letters for section 508 
compliance and place compliant materials on our website. As resources 
permit, we will also convert non-compliant submissions to section 508-
compliant forms and offer assistance to submitters who are making their 
submissions section 508-compliant. All section 508-compliant 
presentations and comment letters will be made available on the CMS 
website. If difficulties are encountered accessing the materials, 
please contact the Designated Federal Official in the FOR FURTHER 
INFORMATION CONTACT section of this notice.

IV. Virtual Formal Presentations

    In addition to formal presentations (limited to 5 minutes total per 
presentation), there will be an opportunity during the meeting for 
public comments as time permits (limited to 1 minute for each 
individual and a total of 3 minutes per organization).

V. Panel Recommendations and Discussions

    The Panel's recommendations at any Panel meeting generally are not 
final until they have been reviewed and approved by the Panel on the 
last day of the meeting, prior to the final adjournment. These 
recommendations will be posted to our website after the meeting.

VI. Membership Appointments to the Advisory Panel on Hospital 
Outpatient Payment

    The Panel Charter provides that the Panel shall meet up to 3 times 
annually. We consider the technical advice provided by the Panel as we 
prepare the OPPS proposed and final rules to update the OPPS for the 
following calendar year. The Panel shall consist of a chair and up to 
15 members who are full-time employees of hospitals, hospital systems, 
or other Medicare providers that are subject to the OPPS. The Panel may 
also include a representative of a provider with ASC expertise, who 
advises CMS only on OPPS APC rates, as appropriate, impacting ASC 
covered procedures within the context and purview of the Panel's scope. 
The Secretary or a designee selects the Panel membership based upon 
either self-nominations or nominations submitted by Medicare providers 
and other interested organizations of candidates determined to have the 
required expertise. For supervision deliberations, the Panel may 
include members that represent the interests of critical access 
hospitals, who advise CMS only regarding the level of supervision for 
hospital outpatient therapeutic services. New appointments are made in 
a manner that ensures a balanced membership under the Federal Advisory 
Committee Act guidelines. The Secretary rechartered the Panel in 2022 
for a 2-year period effective through November 20, 2024. The current 
charter is available on the CMS website at: https://www.cms.gov/files/document/2022-hop-panel-charter.pdf. New appointments are made in a 
manner that ensures a balanced membership under the Federal Advisory 
Committee Act guidelines. The Panel consists of the following current 
members and a Chair:
     E. L. Hambrick, M.D., J.D., CMS Chairperson.
     Carmen Cooper-Oguz, P.T., D.P.T, M.B.A, C.W.S, W.C.C.
     Bo Gately, M.B.A.
     Scott Manaker, M.D., Ph.D.
     Matthew Wheatley, M.D., F.A.C.E.P.

Request and Submission of the Panel Nominations

    The Request for Nominations to the Advisory Panel on Hospital 
Outpatient Payment notice (87 FR 68499) provided for nominations to be 
accepted through February 13, 2023 or after that date at CMS's 
discretion.
    As a result of that notice, we are announcing 8 new members to the 
Panel. These 8 new Panel member appointments will assure that we 
continue to have a Chair and up to 15 members available to attend our 
scheduled meeting.

New Appointments to the Panel

    New members of the Panel will have terms beginning on July 1, 2023 
and continuing through June 30, 2027. The new members of the Panel are 
as follows:
     Becky Bean, BS, MHA/MBA, PharmD.
     Thomas Capco, BSRT, RRT, CPFT.
     Blake Dirksen, MS, DABR.
     Nancy Dawson, MD, FACP.
     Brandon Fazio, BS.
     Rahul Seth, DO, FASCO.
     Wendi Smith Lloyd, CPC, COC, CPMA, COSC.
     William Tettelbach, MD, FACP, FIDSA, FUHM, MAPWCA, CWSP.
    We currently accept nominations on a continuous basis to fill 
upcoming panel vacancies. We encourage additional submissions. Any 
interested person or organization may nominate qualified individuals. 
Self-nominations from qualified individuals are also accepted. 
Nominations must be submitted through the ``Hospital Outpatient Payment 
(HOP) Panel Member Nomination'' module on MEARIS\TM\. To access the 
module, visit https://mearis.cms.gov to register, log in, and submit 
your nomination. We can only accept HOP Panel Member nominations that 
are submitted via MEARIS\TM\.

VII. Collection of Information Requirements

    This document does not impose information collection requirements, 
that is, reporting, recordkeeping or third-party disclosure 
requirements. Consequently, there is no need for review by the Office 
of Management and Budget under the authority of the Paperwork Reduction 
Act of 1995 (44 U.S.C. 3501 et seq.).
    The Administrator of the Centers for Medicare & Medicaid Services 
(CMS), Chiquita Brooks-LaSure, having reviewed and approved this 
document, authorizes Evell J. Barco Holland, who is the Federal 
Register Liaison, to electronically sign this document for purposes of 
publication in the Federal Register.

    Dated: July 13, 2023.
Evell J. Barco Holland,
Federal Register Liaison, Centers for Medicare & Medicaid Services.
[FR Doc. 2023-15254 Filed 7-14-23; 4:15 pm]
BILLING CODE 4120-01-P


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